| NPI | 1831552413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA12822000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VT 042-0016735) |
| 207P00000X Emergency Medicine (Licence: MA 266985) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2025-10-14 |